1497 Rocky LaneCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: I
?ii{ a :I111?l? IIIIIIrJ'
PERMIT SUBTYPE:
14 H 1 APPLICANT:
1i.1_') 1.151
TYPE OF WORK:
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
1117MANK;Y: A iFVAHA11- Pt'1tMl 1 I:., k} I:}UCItt 11 I,(.10 ANY 1'111MFtIN1i OR F.11 1 (IlIt At 1
f
y?t
't !
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
1:1111 111 N1i
N. 1H,•1.
Permit No. Permit Holder Date Telephone ff
SAN
PLUMBING
HVAC
ELECTRIC
I
ELECTRIC
Inspection Date Insp. Comments
Footings l
Foundation
Framing f PV
Roofing i
Rough Plbg. / ?? 7" S o w dH rJ
Rough Flip.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Fig.
Deck Final
Well
Able- 7v 97,-w
./
re
,ewrze um?. JCOA?7 .,r
wCs
ATER PERMIT
ShcGAN
387t Moe Rd.
Eagan, MN 55122-187
DATEent • 19,199r,
PERMITDATE 10/01/91
PERMIT # 12322
B.P. RECEIPT # C 15612
B.P. RECEIPT DATE 09/30/ 91
_ PRV BOOSTER PUMP
USE ONLY
METER #
CHIP #
METER SIZE
ISSUE DATE
SITE ADDRESS 14'.)7 Rock,; Lin
LOT 1!_ BLOCK 3 SEC/SUB`-'i erwood Downs
APPLICANT: Joseph M{ Millar Genet
ADDRESS: 18133 Cedar Ay go
CITY,STATE Farminzton. Mn ZIp5'S'024
PHONE: ?' 31- (? b 1
PLUMBER: Dens-Ryan
ADDRESS: 14745 S Roi?ert Tr
CITY, STATE Aoeer?ount, Mn ZIP 55n68
PHONE: 4231144
OWNER: -
ADDRESS:_
CITY, STATE
PHONE: -
ZIP
PERMIT REQUESTED
-XL_ SEWER - WATER - TAPS
COMMIIND X RESIDENTIAL
NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY)DF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
CASH RECEIPT
0 1
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 1 19_
iECEIVEO ? -
FROM j l
AMOUNT $
8 DOLLARS
loo
? CASH L3 CHECK
I Imo. 1 _.r•?-?
LI
BY
(?
j 15612 wme--Paym cov?
veU- -p-" copy
Pink--*" Copy
Thank You
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1887
DATE grit. 1 9, 1 9 9.1
OFFICE USE ONLY
q
METER # 4 /a IA PERMIT DATE "101191
CHIP # 4 a a O 1(63_7 PERMIT # 12 a 2 2
METER SIZE SAFSeAli"5 B.P. RECEIPT # C 15612
ISSUE DATE - - 9/ B.P. RECEIPT DATE 09/301 91
_ PRV _ BOOSTER PUMP
SITE ADDRESS 14n7 Rocky Ln
LOT 14 BLOCK 3 SEC/SUBStierwood Downs
APPLICANT: 1 o e e R b M_ Miller C o n a t
ADDRESS: 18133 Cedar Ay So
CITY,STATE Farmington, Mn - ZIP5W24
PHONE: - r? n 1
PLUMBER: Cans-Ryan
ADDRESS: 14745 S. Robert Tr
CITY, STATE Rosemount, Mn Zlp .55068
PHONE: 423114t
OWNER:
ADDRESS:
CITY, STATE ZIP
PERMIT REQUESTED
x SEWER xWATER -TAPS
COMMAND 'C RESIDENTIAL
NEW EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
Y
PHOI E: i / 7- 0 -SIGNATURE WHEN METER ISSUED
PLEAStA?TWO WORKING DAYS FOO PRObI<SSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
I CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be used for SP WIG/GAR Est. Value $136+000
Sits,Address 1497 ROCKY LN
Lot 14 Block Sec/Sub. SHER?OD DOM
Parcel No.
W Name JOSEPH M MILLER ONST
Address 1813 CEDAR AVE 8
c City IrARMINCTON Phone 431-200F-
Name SAME
Address
Phone
8¢
WWName _
,,, W
E Address
s W City _
I hereby acknowlege that 1 have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permilee
A Building Permit is issued to: JOSEPH M MILLER COM
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
I'?'101 19 7'
Receipt # I .
SEP 30 -91
91
OFFICE USE ONLY
Occupancy R-3
l i 1 FEES
Y
Zoning
V N
39
(Actual) Const v_x Bldg. Permit
(Allowable) 67.00
Surcharge
# of Stories
-??
493.00
Length Plan Review
10000
Depth SAC, City
S.F. Total 630'00
S.F. Footprints SAC, MCWCC
On Site Sewage
Water Conn 660*00
On Site Well Water Meter 9S?0Q
MWCC System
?
Acd_ Deposit 30.00
City Water 30
? ?
PRV Required SAY Permit
Booster Pump S/W Surcharge
276.00
Treatment PI
APPROVALS 370.00
Road Unit
Planner Park Ded.
Council -
Bldg. Off.
V
i Copies 4-0-30-o'-50
ar
ance - TOTAL
' Permit No. Permit Holder Date Telephone #
WATER " ? 9
StWER
PLUMBING 11,4
H.V.A.C. g G ?l?J..?pO,Z
ELECTRIC /
?ap?`?? 1
u r 9 Up
Inspection Date Insp. Comments
Footings I le,
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. G _ -9 /tf
Isul.
Fireplace
A
L
Final Htg. Gj .
J
Orstat Test 1 12 - _ -7
Final Ptbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPtan
Bldg. Final
Deck Ftg.
Deck Final
Well'
Pr. Disp.
m r ?6
0.1b. jrft
(Urtifirote of (Orrupaury
Citp of (Eagan
ua td of wanitto JMwertiou
This Caftfu ate ixrutd pursuant to the requhmnents of Section 306 of the Uniform Bw7ding
Code certifying that of the time of issuance this structure was in compliance wM the paribus
orrdinanca of the City regubdng building conoudion or use For the following.
use QW9WIMSM W n r."R W& F - too. 14756
0-v-cy Type R3/Ml zoams DWiu r 1 ThxC,,g VN
o.,,,,w ,ad-m TnsEPH M Mtt.TEt QMM. tea, 18133 EDAR AVE S. FA14?IIVG'PG?J
lkadiot Add" 1447 R-= LANE cougar L 14, B3, REMM DaW
X
D&W 12??5/41
a„Adins OdicW
POST IN A CONSPICUOUS PUKE
I :..
L4 ?(t S RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
Now Construction Reaulrements
3 registered site surveys showing sq. ft of tot sq. ft. of house; and all roofed areas
(20% maximum lot average allowed)
• 2 copies of plan showing bears & window saes; poured found design, etc.)
1 set of Energy Calculations
• 3 copies of Tree Preservation Plan d lot platted after 7/1193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE 'L_ -) L` C) JOB SITE ADDRESS 1 *7 fZoC Gt/ I
Phone #
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER
TYPE OF WORK ?r t?t s FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT ?-bl"e_ PHONE# PSc"-236Y 6(66
ADDRESS "t5-602/ 62rk6u ? e ,? ??^ S7\ lSViSin v\V ZIP CODE <c; 5
PAGER #
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
_ MINNESOTA RULES 7670 CATEGORY I
- Residential Ventilation Category 1 Worksheet Sut
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor.
Mechanical System Includes:
Sewer/Water Contractor.
Air Conditioning
- Heat Recovery System
Fee: $90.00
Fee:
Phone #
$70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of E an dinns?ce
Signature of Appllcannt ® A ??
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
- New Energy Code Worksheet Submitted
Phone #:
Water Softener _ Lawn Sprinkler
Water Heater _ No. of R.I. Baths
No. of Baths
RemodelfReoair Reaulrements
• 2 copies of plan
1 set of Energy Calculations for heated additions
I site survey for exledor additions & decks
Indicate if lame served by septic system for additions
VALUATION 16,
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
Y . 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 36 Demolish (Interior) ? 44 Siding
A 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation jj
-I ov v Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
-P
_ Other
- Pool _ Ftgs - Air/Gas Tests - Final
Siding _ Stucco _ Stone
- Windows (new/replacement)
Approved By I -L , Building Inspector
REQUIRED INSPECTIONS
Footings (new bldg)
Final/C.O.
Footings (deck)
Footings (addition) Plumbing
Foundation
Drain Tile
Roof _ Ice & Water _ Final
Framing
Fireplace _ R.I. -Air Test -Final
Insulation
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
_
?C Final/No C.O.
I-IVAC
?-7?q
It
Wr.---T497
DATE: OCT 1, 1991
ROCKY LN (JOSEPH M MILLER CONST)
Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit foF the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
Address: 1497 RDM LANE Lot 14 Blk 3 Sec/Sub $fERWC)OD DDWNS
These items were/were not complete at the time of the final inspection.
12/05/91 Yes No
Final grade (6" from siding) Z SitOW
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage iw
Porch
Basement finish
Deck I VI
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
PECVCLE4 KKP
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN
' ' NO 9756
• -
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # L I J c! / Q
To be used for SF DWG/GAR Est.Value $134,000 Date SEP 30 t91
Site Address 1497 ROCKY LN
Lot 14 Block 3 Sec/Sub. SHERWOOD DOWNS OFFICE USE ONLY
Parcel No. Occupancy R-3_21,- 1 FEES
Zoning R-1
w Name JOSEPH M MILLER CONST (Actual) Const V-N Bldg
Permit 759.00
.
Address 18133 CEDAR AVE S (Allowable) V-N 67
00
° Surcharge .
City FARMINGTON Phone 431-2001 # of stories
54' Plan Review 493.00
Length
o Name SAME Depth 36 SAC
Cit 100.00
° Address S.F. Total ,
y
¢ - SAC, MCWCC 650.00
City Phone S.F. Footprints _
660
0
On Site Sewage Water Conn .
W Name on site well 95
00
?w Water Meier .
Z Address MWCC System X
m Acct. Deposit 0.00
<W City Phone City Water X
30
00
PRV Required SAN Permit .
I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge
0
.5
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI 276.00
Signature of Permitee APPROVALS Road Unit 370.00
A Building Permit is issued to: JOSEPH M MILLER CONST Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
Building Official .pal l u Variance TOTAL j,530.5(1
?) / 7 G 2 r'9EQUEST FOR ELECTRICAL INSPECTION EB-00001-09
(/ ! ! o'- 7 J see instructions for completing this form on back of yellow copy. IQ!
; ?? (?Gi,l (2 it, "X" Below Work Covered by This Request d
Ne Add Rep. - Type of Building Appliances-Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Comraclgts Remarks2 _
(J 1 r? ?JCt,S?ll+o a ?`? /LpC(z' Lw `2
Compute Inspection Fee Below.' -7
# Other Fee # Service Enhance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 -Amps o -Amps
Signs Inspector's Use Only: ?q TO AL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY 9E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 tIS.--??
I, the Electrical Inspector, hereby
tif
h
h
b
i Rough-in
? Cate
y t
cer
at t
e a
ove
nspection has
been made. ,.,.
Final (,?„in a7 y?'
OFFICE USE ONLY
This request void 18 months from
0'?;U =0 3 5 0 o ?G
Raque Date *e o. R ugh-In Inspection Required
IY.u cell inspector when ready) Inspection Other Than Rough-In
0 Ready Now Will NoWy Inspector
1 J Yes ? No Date Rend
I licensed contractor El owner hereby request inspection of above electrical work at:
Job Ad N.5 (Street, Route o.)
I
ao? Ciry
e,
Section No. Township Name or No. Range No. C t
,?lvPfP? I I,AA
`? (" `NI • VV 14? 1
Pho a No. l
Pow r Supplle Address
Ele ial ontractor (Cgmpany eme)?' •v Contractors License NO.
Mailln dress C ctor or Owner Making Installation) '? wI
D? Vv •???? ?? I r
Auth riz d ignalure (C tractor/Owner me I Insla am Ph'o?n•?'(NU??mber?/•?
1 ?..J L y W
W j1 STATE D OF ECTRICITY
II
THIS INSPECTION REQUEST WILL NOT
riggs-Mldwey el - Room 5.126
I
I
II
I
I
I BE ACCEPTED BY THE STATE BOARD
1821 Unlverelt e., St. Paal, MN 55t I II I UNLESS PROPER INSPECTION FEE IS
Phone (6
12) 6 2.0800 u ENCLOSED.
14916A8191 /036 a0
p 52241 &'29
Resale1sl Date /?
V ct o f, e2 2l , 1991 Fire No. Rough in Inspection
Required,
? Ready Now 4111 Notify Inspector
d
?
No When Rea
y
I .?MLensed contractor ] owner hereby request inspection of above electrical work at:
Job Address (Street, Boa or Route No.) City
9497 Rocky Lane Eagan
Section No. Township Name or No.
Range No.
County
I [Dakota
Occupant I PRINT) Phone No,
aoe Pliezen ROME,6 439-2001
Power Supplier Address 300GL
Dakota Uz ctaic iazmington,ff 55024
Electrical Contractor (Company Name) Contractors License No.
1'1idiand Uectaic 041610
Mailing Address )Convactor or Owner Making Installation)
630 145th St. 0. #214 Apple Va-etey,M 55124
AuthOnaetl na ICpnlr king Inalellalionl Pbone Number
432-6688
M?INN_ESOTA STATE BOARD OF EL TRIOITV THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
..cULIEST FOR ELECTRICAL INSPECTION
? See astrydions for completing this form on back of yellow copy.
'Y' Below Work Covered by This Request
m
Jwsy
e Add Rep Typeof Building Appliances Wired Equipment Wired
Home ange Temporary Service
Duplex Water Heater Electric Heating
Apt. Building ryer Other (Specify)
Comm./Industrial Furnace
Farm ? Air Conditioner
Other($pedfy) Contractors Remarks
Compute Inspection Fee Below-
Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps / O to 100 Amps 63
Transformers Above 200 Amps 100 Amps
Signs mspecwrh Use only,
TOTAL
Irrigation Booms //??,?,
7???4J 7? 56
Special Inspection '
Alarm/Communication THIS INSTALLATION MAY BE OR SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS.
1. the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in Data r(
F;nal Data
OFFICE USE ONLY
This request voib IS months from
9 ? ° 1 383006 RESIDENTIAL BUILDING PEMT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. R of lot, sq. R of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils Report it proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window saes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if tit platted after 711193
Rim Joist Detail options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Remodelikeoair Requirements
2 copies of plan showing footings, beam, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition • indicate ifonsde septic system
a?U?y
?a cx?
ortige?i7?e oiv
Ced of Si0ey R"errJ Yy"N
SaIlsRejport
Tree Pies PlegRecd ? 7 • ? N.
Tree Pres ReGulre?. ' 9."-N
gn?iteSeplicSystem, ? -?:?Y..m_N.
Date / Construction Cost 6 7 I5. ?y
Site Address ?Y 7 /t 0 ??L1 Z/9 Unit/Ste #
Description of Work
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 - 1 - 2
Property Owner _4) CL! ?? lL
( I) ??? - S ?S
Telephone #
Contractor f?/E (LV/d 9??d'??0/I SGt? ?/?J?
-
Address '?J(0'{`Z
State 12) Al
Zip ?60?a `
city
Telephone#(/>67) h1_3q' y??G
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 - Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone #( )
Mechanical Contractor Telephone #( )
Sewer/Water Contractor Telephone #
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved pla in the case of work which requires a review and
appro 1 of plan .
/
Applicant's Printed Na a Ap icant's Signature
2006 RESIDENTIAL PLUMBING PERMIT APPLICATION
J CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
1$617DO
Date I as 1 )I Co
Site Street Address I uc I Q/
t/ ?I L-r-) Unit #
( )
Property Owner ?o hn I ,L. ry-) and Telephone #
Contractor Z (?? Telephone # (M) 1,7- I (Y?0
Address 16 city fj(, V-rY ,SV I k? State M N Zip X337
The Applicant is: _ Owner /-Contractor -Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. if you are installing only a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing. i
-Septic System Abandonment
-Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Ywater Softener ! -water Heater
71 $ 15.00
_ new replacement
Lawn Irrigation RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
[Total 6v
$ I -
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accord nce wit, he approved plan in the event a plan is required to be reviewed and approved.
111ml?r IV l Ie-
Applicant's Printed Name Applicant's Signature
RESIDENTIAL BUILDING
C (a?(13 Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Construction Requirements Remodel(Reoa'v Requirements
3 registered site surveys showing sq. tL of lot, sq. it of house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks
1 set of Energy Calculations Addifion - indicate if on-site sepfic system
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Office Use Onh
_ Cen of Survey Recd
-Tree Pres Plan Real
Tree Pros Not Reqd
_ On-site Septic System
Date / Construction Cost 343
/
Site Address L.Q • Unit/Ste #
Description of Work Q
V ?iL QiC° A41 W
Multi-Family Bldg - Y _,,t-'IN Fireplace(s) _ 0 - 1 - 2
Property Owner )a O-jcin Telephone # ( -
Contract A st Sinless
355 5 21 21st Street
-
Address City 9
NOWPOR, MN 55(T5
State 'Zip Telephone # ( ) ,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Catesory I _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #( )
Telephone #( )-
Telep @
11 ocS 3 0
I hereby apply for a Residential Building Permit and acknowledge that the ilrformation is coin end accurate;
that the work will be in conformance with the ordinances and codes of theme an the State of NIN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan /in the case of work which requires a review and
approval of plans. . ? /•. - . // // "7 ,
e
1W1 1, IS
Printed Name
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous
Work Types
? 30 Accessory Bldg
? 31 Ext. Alt - Mufti
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) -Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft, PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) _ Final/C.O.
_ Footings (deck) FinaVNo C.O.
- Footings (addition) _
_ Plumbing
_ Foundation _ HVAC
- Drain Tile Other
Roof , Ice & Water _ Final - Poo) _ Ftgs
Air/Gas Tests Final
Framing _
Siding
Stucco
Stone -
- Fireplace - R.I. -Air Test - _
Final - _
_
Windows (new/replacement)
- Insulation - Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
C =!q F -9 E5
Building Inspector
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EiAGAN
3830 PILOT KNOB - 55122 /0,
651.681-4675 75
Reaulrements
2 ooples of plan nn
d
DATE: (?? ,?? - ?, y ., n Yi S1 ?CQN5fR?JCTION COST: ? C)
_ 1 VL t"Y cJ? C C?- J
DESCRIPTION OF WORK:I ?l QGQ-JQ(a+Cd ?7?t5C?lPiti rc p0 If multi-family bldg., how many units?
INDICATE THE FOLLOWING EQUIPMENT TO BE REPLACED AND BY WHOM:
- Plumbing 49? Homeowner 2 Contractor Name
- Mechanical _ Homeowner gi Contractor Name
"Note: If somebody other than the homeowner is performing plumbing or mechanical work they must apply for appropriate
permit. Only licensed plumbing contractor or homeowner may complete plumbing work.
STREET ADDRESS: 'T-k
LOT: A-q-- BLOCK: (3 SUBD./P.I.D. #:
PROPERTY
OWNER
Name: ??? "?? 1)-Pf " _ Phone #: V0 I - l0 a
Lail First
Street
L01
CRY 1? /5 State: VY?+J Zip: 1:33I zz_
Company: Phone #:
(area code)
CONTRACTOR
Street Address: License #
City State: Zip:
RECEIVED
OCT 2 5 2000
BY:
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: C.Q"!-?
EXTERIOR ENVELOPE ENERGY CODE COMPUTATION WORKSHEET
To Determine Compliance with the Minnesota Energy Code
(Section 502. of the State Amended 1989 Model Energy Code)
Project Title
Site Address
1. EXPOSED WALL CALCULATIONS AREA " U" VALUE AREA X "U"
A. Opaque Wall
1. Masonry/Concrete =
a.
b. x
x =
=
c
2. Foundation Wall (Above Grade)
dl
X
O =
ri
e
a. I x =
b.
3. Wood Frame Wad
..,, y It
9
Z
a. Insulated Area
b. Framing Area (Ave. 15% at 16" oc) a =
_
C. Framing Area (Ave. 10% at 24" oc)
a
4. peripheral Floor Edge/Rim Joist, q7 x 2 Le = . 13
a --^--
b.
B. Glazing
1. Windows
x
,_ 33
9.
a.
b. x
Z x =
r3 -
z
2. Doors
C. Doors
1. Wood x =
a. Solid x
b. With storm door x =
2. Metal x =
3. Overhead x =
4. Other
D. TOTAL WALL AREA, sq.ft.... _ ................. .......
E. TOTAL OF AREA x U _. .....__.
ROOF/CEILING CALCULATIONS
Il
. Z.? O. X , DZS = ti, 7S
A. Roof/Ceiling Insulated Area
Roof/Ceiling Framing (Ave. 15% at. 16"
B
oc} x
e D z2r s
.
C. Roof/Ceiling Framing (Ave. 10% at 24" oc) 3 o x _
D. Skylight
TOTAL ROOF/CEILING AREA sq.ft .....................
E .... Q
.
..__.....
F. TOTAL OF AREA x "U" ........................
......_..
......._.......
EXTERIOR ENVELOPE ENERGY CODE COMPUTATION WORKSHEET
To Determine Compliance with the Minnesota Energy Code
(Section 502 of the State Amended 1989 Model Energy Code)
Project Title
S ?° ?? L griF
Site Address- Z
1. EXPOSED WALL CALCULATIONS AREA "U" VALUE AREA x "U"
1
A. Opaque Wall
1. Masonry/Concrete x =
a.
b. x
x =
=
C .
2. Foundation Wall (Above. Grade)
x
b.
3, Wood Frame Wall
y x
. oY5 =
O' 9
Z
a. Insulated Area
Framing Area (Ave. 15010 at 16"
b 00 .
x
?f y =
=
.
C. Framing Area (Ave. 10% at 24"
oc) It
4. Peripheral Floor Edge/Rim Joist, x 2 Y = , t 3
a. x
b.
B. Glazing
1. windows
x
,.
35
9. a c
a.
b. -
x
7 x
/33 =
9, Zy
2. Doors
C• Doors
1. Wood x
a. Solid
With storm door
b x
=
.
2. Metal x
x =
3. Overhead x =
4. Outer
D. TOTAL WALL AREA, sgft ....................... .......
E. TOTAL OF AREA x U"............ _ .... _ ......... .......
"
IL ROOF/CEELJNG CALCULATIONS
7„7O. x .DZS' _ L, 71
A. Roof/Ceiling Insulated Area
B. Roof/Ceding Framing (Ave. 15% at, 16"
"
oc)
x
x
=
L!o
C. Roof/Ceiling Framing (Ave, 10% at 24 oc) e
D. Skylight
TOTAL ROOF/CEILING AREA sq.ft------------- - --
E ---- ?-
. y/
F. TOTAL OF AREA X "U"..._..-......-..-...°.--. .. ........_......_.._.
III. BUILDING ENVELOPE REQUIREMENTS
TOTAL AREA REQUIRED 'U" ALLOWABLE ,
(From I.D. & ILE) (From V.) (Area "U"
k 9k
A. Exposed Wall: ?_ x -
-
B. Roof/Ceiling: 3 p0 x t o z(o = 71 .yo
C. TOTAL ALLOWABLE BUILDING ENVELOPE (Total of A & B above) ...............:.. ?G?71f
IV. ACTUAL BUILDING ENVELOPE
ACTUAL
(Area x 'U")
A. Exposed Wall (From I.E.) ?v ?• ?_S?
B. Roof/Ceiling (From MF) 7. Y/
C. TOTAL ACTUAL BUILDING ENVELOPE (Total of A & B)._ .... ......... _................. ... 70 i D ra.
•(Meetr code requirement[ if less than HL C)
V. REQUIRED "U" VALUES
WALU
Detached one and two family dwellings .11
Multi-Family Residential Buildings
(3 stories or less in height) 238
• All Other constrnetion Types (3 stories or less) .238
' All Other Construction Types (More than 3 stories) 28
'Based on 8007 heating degree days (Melt /St Paul)
Adjust 'U' Values accordingly for other locations
ROOF&EII.ING
.026
.026
.06
.06
I hereby certify that I have completed the above information and that it complies with the Minnesota State Energy Codt
.r
BCSD 4-93
CC/SM/6574
r,
A
t
10
TAL n •
^Y I.IG S¢.I iON.
i-:ericr air filn
l inc:`!es scu; .ccc 60,87-
1V 0xROA-v211' i Ue
nx-ericr air riim U.11
;
WALL j-`GII (INSULATSD)
air Fi
Rim JOIST S_CTIG11:
iericr
;i
?1 1 { FOUNDATION INSULATION REQUIRED.
Min. R-5 on entire well OP. U ° 1/R ° iL9
xX -
- Mtn. R-10 down to most de?th
FOUNDATION' SECTION:
Interior air film 6.E8
rq
3 = 'tx:ericr air film 0.17
? . c. .••, GSA c (?
TOTAL R =
i !" Ti 11 SiA5 ON G?.t0-c
Heated Slabs:
Unhe!tef slats:
=d ?? Mirisc.. R E.2
a
•
.
a
Q
d'
" G
=
•
. >
X, Page 4
U • 1/a - i0`1-<,-
I
CUNT Ku L, ION
7.
CEILitir, SECTIC11 (INSULA7-:1:
Interior air film C.bf
j_. 2 ? SifE? L .5?
C_'- j 2 ?6s4 ?ta9tS 3?l
k Extericr air fil.^ (still) C
TC?Tni_ R - -3'1, 7F
u - 1/R-,vzr
TOTAL R - YY,13
U - i/ = , ozz-
C"cILI?ir FRAtl1F1G S==TICN:
1 Interior air C.£;
2 7574F / L
3 f 2 b+d4q?s 5 8
L 1m- t' air?.ilr.. (still) C.o!
5 'Z-- incies safe wccd
CEILING SECTION (INSULATED):
1' interior air film 0.61
2
3
b Exterior air film (still) 0761
TOTAL R _
U - i/R
VENTED
CEILING FRAHINr SECTION:
1- Interior air film o.61
2
3
A Exterior air ilm (stil U 1.61
5 incies sett wood
TOTAL R -
u - I /R =
1 Inside air film 0.61
z
3 '
b
S Outside air film.. 0.17
TOTAL P.
u 1IR -
Page tJ
* PIONEER
engineering..
* ?t >f
2422 Enterprise Drive
Mendota Heights, MN 55120
(612) 681-1914
Certificate of Survey for: JOS[P ' 114• MYIIR CONS " CO
00.1
N
s
0
O I
N
1p
O 0
?^?
?_ 3?. 3 j ? r ?i I la
v ?, oK.ve
6 ? 9.53
17
d sW 3n
T ? v
/Sj8 ?'IIrSV 36
7i
5e s-
J?9 37'F
W
? rn
1 p1 ? ? Q n
y`1al ( m a Is
?•
OT ZZ.S¢.
s 900.00 Denotes fxistinj Elevations PROAO%D YousrELEyATIoNs
} 00.00 Denotes Proposed Elevations Lowest Floor Elevation a /c7• °(o
----- - Denotes Oro/n a rUtili! Easemenf re?pp o"Bloel' Elevo/ion 875.1
Denoles Drain+ Alow Arrows C7orale gab Elevalion 674.83
o Denole; Monument
gearmis shown are assumed o Denoles if Mel Ilub
LOT 14? BLOCAI 3 , SHNWOOD DOWN5
DAKOTA COUA/ry, MIMNESOTA - subject to easements o' record
I hereby certify that this survey, plan or report wa?s?7pr ared by or un er my direct supervision and that 1 am duly Registered Land Surveyor
under the lave of the State of Minnesota. Dated thism day of A,D. 19
Scale : I m? r qp eE gb7-oi0.
n(nl _R I n. SIKICI I LSrn Ea- No, 14 6 4 t
OW
ep s
s
0
/60.20 5
1
3 4o"E
_4__?
NORTH
1310: q x a0%, zl? ®q
14
H'K
It I
V 'F-ll W
03
all,
Vol.
** *4
* PION
* engin
2422 Enterprise Drive
Mendota Heights, MN 55120
(612) 681-1914
Certificate of Survey for:VOSEP' r 11+' M LE , CON" T CO'
NORTH
14,
M
0
4
m
o It
0°? D /6B. zo 5 S7?p3 4o"E I t
ro-) t ) 1q,11
(s z?I. re
3(-.7
?_ 36,93 ?.I yIl
r.J2.8 13.1.7 a zi.b7
C
6
? p ., I ? ti Dv.?[
'? $12..9 e`_9.83
b Ip / HIM o N ? ' 3?
:F 'T
ry925 zss ??? j ro
ml
S7
?
o/
M
1ti
0
m
0 n
<r
l
.:
F.,--
300.00 Denotes fxisfinj Elevations _PROA25ED HOUSE ELEVATIONS
Denotes proposed Elevations lowesl Floor Elevotion 8f7. b(-?
- - - Denotes fJroma e UIIAI?y Easement T?p' onslock E/evofion 875.1(,
Denolles Draino e t-W xlrrows Goraje Slob Elevalion 674-63
o Denoleg Monument
Bearings shown are assumed o Denolcs of set Nub
LOT 14 , BL ocrL 3 , SUNWOOd DOWN5
DAk'OTA COUAITy, MINNESOTA . Subject to easements o/^ record
1 hereby certify that this survey, plan or report as pr aced by or ,, er my direct supervision and that I am duty Registered Land Surveyor
under the laws of the State of Minnesota. Dated thisw day of A 7, A.D. 19 -/../_ .
Scale I. 1 J^?: V e{
?ezolo.5j RVn_RIn.511UC11L.S12EG.NO.1G t
vr' DUII,DIIIU 1)1:1 '1.Ii11.1EIIi:
mcrmlIUR ERVELOP•E AVERAGE "UII C011PUTATIOR
(To bo GubmitLod:xvith building pormlt application)
One or Two Family Dwolling Owner
All Omer Site Addrona 1?bT?R-
Phone
Contractor Dutn
i
LINEAL FEET OF 2244`1 -,.53
IMIOSED WALL, ft. above Aradn =
• 'f0'1'AL EXPOSED 11ALI. AREA Sq. F1'.
OPAQUE WALL CONSTRUCTION: "U" Value
' x Aron
SQ U) (A)
_tO•f s- ar,s
FT
De toil .\Uu
-? x
.p7(D x .
s Q. .
FT.-J!2 _ (U)(A)
U)(n)
'
1'e lc r CSICa gun x SQ. P. ZLO_ _
F
= (U)(R)
T
from ..Du x SQ. F
.
(U)(A)
attochcd full x SQ. FT. _
(U) (A)
shcctG gun x sq. FT. -
::INW%VS: Muff Value x Area
1 0° n7.B7
FT
rl.fl;e & Type IA)'1,_, Ci??l l gull x SQ. .
(?)(A)
i. .f lull x SQ. fT. (U) (A)
. a lsD it x SQ. FT. _
(U) (A)
u u soull x sq. FT. _
WOKS: 'lull Value x Area
ff
I _x
SQ
9,00 = (P'5(0(U) (A)
FIT
Ileicc.& Type ?r(?A??-V
7 ,
A
: C. "gu
I' .
? x .
SQ .
FT. ?Z,-= 1
_7- (U) (A)
11
u f. _
II
'
LT12 2Z
n u
'
uuls
x .
SQ. .
-
FT. _ (U) (A)
" it souls x SQ. FT. _ (U)(A)
TOTALS x_11. iG? _SQ• FT. 1,77 . 97 (U) (A)
AVERMO IIU 'I
TOTAL (U)(A) VALUES W, 17 •,07,
DI VI DED BY 'TOTAL WALL AREA z4? I• g3
AVERAGE "U" r leGs for M2 famlly inga
ROOF/CEILI IIG : I
TOTAL AREA: S oOj
Detail reference soUso •OZj x sq. FT. //5(O =_LK Z?(U)(A)
from souls x sq. FT. (U) (A)
attucllcd allceta. ffulf x sq. FT. _ (U)(A)
fouls .. x..SQ.
In FT. _ (11)(A)
Dencritto II roof. openingo' roof. .full x sq. _ (U) (A)
FYfi`.
^trr 11:;o fr 7 ,?,?-7 TOTAL (U)(A) VALUES DIVIDED AY .-
'LO'CAL ROOF/CEII. 0 NtEA ?f S?p,00 cO Z
IT,
AVERAGE .1025 f v-ventilated roofa.
?I
I
I
\
u ?..I?2S00
9.50 (501-50 4- Z5+Z 5)
8-SAX (3L+3Zf Z?Pt2(o? = I°Z`1=83
cow.,
. wX C sofso+zsl-ZS? = loo.so?
??lil1 sas-T
;I
&3XC?oot so+l?4rsz? = Zzo.?B d?.
?'YI?JLYacs?S-
Zzx14 = L.7 X = S-lo
IlaY3(o = 4.o X Z = S.?o
Zor.3? = S o X I = s.op
i
Zo M-g = la-] X `? = wo. o
i
5(0, u?
Z?-xq-B = 8'- o X 7 =
191-40 ,?
3° s-r?? w?s,c. zg.ao
FIE7 E7J'?t? wycc_. ?cNr-?c_S ??
? ?B x l8 = 3z4
??,? L
oN?,
„ P???'I zzo.?g?- ^? !vim ..._.?;
r? ,_;?-
1'.rS ?Il oc? ??:' I - .I.
DgLUimLll11la 'lull VulUea at II001, Walls 111m, mid Cuuc. Bloolc
l
ROOF/CE1LII'll (it) VALU6
1.) Interior Air I''ilm o.61
2.) 5/8" arp• Bd.. 56
3.) I176Ul4tion ?f '? op
II .)
5.) Exterior Air Film .61
(BTILL)
"Uo ° 01= !Off' TOTAL (11)° -7
WALL 11 VALUE
6.) Interior Air Film 0.68
7.) I" ayp. Dd. 45
8.) Inoulatlon /%d o
9.) &1ur Pir15 ? l.o`) .
-
10.) Ilaoouite siding 6
11.) Exterior Air Film
i 17
.
nun 1/11>. P? TOTAL
00=25
_0
11111 (11VALUE
12.) T,uterior Air Film o.68
13•) Inaulntioli 17.00
111.) 211 Fir Rim Joint 1.88
15•) .Bv ILr- F1T Z.0 -
16.) 1lnuouite siding 6
17:) Exterior Air Film .17
nUu ? 1/11= '0,10 TOTAL (R)° ZM11
FOURDATIOII (11) VALUFI
18.) Interior Air Film 0.68
19.)
20.)
?-ll 51Npreb
/l o0
21•) 12" Concrete Bloolc 1.28
22.)
23.)
Exterior Air
Film
.I7
.lull a I/11° •070 TOTAL (11)° /.?.??
111
ii „%%_ ui. CL IL111G
' fir' I Rn11lIlG
F? U.GAll- Lllm U.GI
1 LI
-?
7Iyl Q Insuladon l ' 00
1 -L?•? Joist
CclIIng
1 ? U.G1
U mill
?- ?- -? - s- ' o to 1 u ?1?-_---
I O7i?7 U n
+ fLAI ROOT UII CAIIIII)RAL CEILIIIU R "IALIIE,
V?7V`??!) li Vi+liie CEILIIIG
JEl--- - , n-o U. 61
V 0.61 luslde Or I llul i
- ; ----- CeIIIII
Julsl ?Stliil)
-= Ali- spacd
'--- Itoof decking
hisulallull
• ?- Vu I l t -u p roof ___ -------
r UutslJe SIr 111m U.11
total It
tlnJo?f InllllraLlu? 5 clm)IlI rout of crack door "IIIIIIIIIJIll cod e lout or lesideiit Ill door IufllLvatthallu5 IIi.UsclaI lineal loot of crocY,e roqulremenE
Ilea un-feslJcnClat Juor'In a •q2';R 2.1
1211' tonci•ete Gluck ilo 1nsu1al:'tor •26 Il 7.6
JU 1211 tuun.ele.block 1nstllateJ cores y iJ2 It 7.1
JL• 12 llylil•.iel'ght block
Jh W, 11911luelyht 610ck 111stllaLeJ`cures ill R U.J
J Slni)I? glass - 1.13; 11M, Stolutl+lndon •54
J tiouli16 glass a .55
J triple lass a .41 ' s
111 ?xlerlor stalls alit cellluys mUsl Have A vllior barrlef ?U.IU perm mdx: f i ..
lap or barrler'awet lie un the nslde (Heated s it hl or +ialli
1 1
lapin' barriers of Lila pulyelhelenn 141n 111ui.haJ? uo Il voluc.
1
i
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
025025
01/09/95
SITE ADDRESS: LOT:
1497 ROCKY LANE
SHERWOOD DOWNS
PERMIT SUBTYPE:
BASEMENT FINISH
14 BLOCK: 3 APPLICANT:
RAYMAN
(612) 686-8575
TYPE OF WORK:
JOHN
ALTERATION
INSPECTION TYPE
FRAMING .DATE INSPTR. INSPECTION
INSULATION DATE INSPTR.
ROUGH IN PLBG FINAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
L J
PERMIT cry q
CITY OFEAGAN
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55123 Permit Number: 0 2 5 0 2 5
(612) 681-4675 Date Issued: 01/09/95
SITE ADDRESS:
1497 ROCKY LANE
LOT: 14 BLOCK: 3
SHERW00D DOWNS
P.I.N.: 10-67670-140-03
DESCRIPTION:
Bulding',-lPermit Type
Building Wo`k Type
? i
BASEMENT FINISH
ALTERATION
„ ii ?l ` (rte - r 1
cc
REMARKS
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$35.00
$35.50
CONTRACTOR: OWNER: - Applicant -
RAYMAN JOHN
1497 ROCKY LN
EAGAN MN 55122
(612)686-8575
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
L J
'DB'E EI Yi k
AP ICA 1 ERMITEE SIGNATURE ISSUED B SIO G ATU
zQQ?? CITY OF EAGAN
194BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site su vI6s; l'copy'nfJ n rgy
calcs.
J A: 3v 0 5 1995
COMMERCIAL 2 sets of architectural & structural Tans, 1 set of
specifications, 1 copy of energy calc d
--------
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
late Valuation of work
F
Address: /97 ?OGf?l1 L,4N
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUBD.?A V P.I.D. #
Description of work: Zu"n"LY- fi?'L(?
The applicant is: CE? Owner ? Contractor ? Other (Describe)
Name RAtA)04 ,-j 1of+ti _A Phone
Property LAST I FIRST
Owner Address 140-7 &G? L-,K-)
STREET STE #
City E-L? State vYl? Zip 951
411J State M,%J
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
"-Q C;C;
Signature of Applicant: 6
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 03 SF Misc. ? 10 Multi. Add'l. ? 15 Deck
WORK TYPE
? 31 New /J33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
y 1.
5U6 Basement Finis
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Mis
? 20 Public Facili
? 21 Miscellaneous
? 37 Demolish
h
c.
ty
Basement sq. ft. MWCC System
1st F1. sq. ft. City Water
2nd F1, sq. ft. PRV Required
Sq. Ft. total Booster Pump
Footprint Sq. ft. Fire Sprinkler
On-site well Census Code
On-site sewage SAC Code
Census Bldg
Census Unit
Building Assessments
Variance
? Footing
Aff-Fi ? Framing
? Draintile
??
v/
0
43?4nsulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
VaL mtim: S / _,00%
SAC %
SAC Units
L / (? BL CITY USE ONLY
,?jJ ?// RECEIPT* J?$a0
SUBD. ,C16?x M2Z I.?4? DATE:
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
EACH NO.
TOTAL
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet ` minimum - 1
Rough Openings
Water Softener
Private Disposal * Dakota Cty. license
U.G. Sprinkler * home under consnt.,?,?-,
Alterations * to existing - 51Lq ?i r ?
Water Turn Around tzx er Z '
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
x
x
x
x
x
x
x
x
x
x
x
x
STATE SURCHARGE
TOTAL
SITE ADDRESS: 1497 ROCKY
50
ao. So
OWNER NAME: DARLA RAYMAN
INSTALLER NAME: GENZ - RYAN PLUMBING & HEATING CO.
STREET ADDRESS: 14745 SOUTH ROBERT TRAIL
CITY: ROSEMOUNT STA
PHONE* ( 612 ) 423-1144
ZIP: ii5g6i;
L BL
SUBD.
CITY USE ONLY
RECEIPT #:
DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4676
Please complete for: ? all commercial/industrial buildings.
multi-family buildings when separate permits are = required
for each dwelling unit.
DATE: CONTRACT PRICE: _
WORK TYPE: NEW CONSTRUCTION ADD ON
DESCRIPTION OF WORK:
REPAIR
FEE: $25.00 minimum fee or 1 % of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS: -
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STE. #
STATE: ZIP:
SIGNATURE:
APPLICANT CITY OF EAGAN
1991 BIIIID-PERM LIGATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: New Home
Site Address 1497 Rocky Ln
Valuation: Date: Sept 19 , 1991
Lot 14 Block 3
Parcel/Sub Sherwood Downs
Owner
Address
City/Zip Code
Phone
Contractor Joseph M. Miller Const
Address !8133 Cedar Av So
City/Zip Code Farmington 55024
Phone 431-2001
Arch./Engr.
Address
City/Zip Code
Phone #
)39-'000-
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
OFFICE USE ONLY
R-3 M-I
2- I
V'N
V-N
.36T
On site sewage
on site well _
MWCC System
City water
PRV
Booster Pump
APPROVALS
Planner _
Council
Bldg. Off. (?Sg•zvy
Variance
FEES
Bldg. Permit 951,00
Surcharge 67.0o
Plan Review 3, 00
SAC, City 00; 0,:)
SAC, MWCC 50,0 O
Water Conn. (060 , 00
Water Meter `75,00
Acct. Deposit 3 O,Oa
S/w Permit 0,0 0
S/W Surcharge I S-0
Treatment P1. ?JZ 6,00
Road Unit 0, v>
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL g h 9 ?. R,
Q ? !Z , agrees that all work shall be done in accordance with
(Si ature of Contra c?tA r)
all applicable State of ((Minnesota Statutes and City of Eagan Ordinances.
.? SMT
32 X.z ? ? ?Do
NzY, 7= Ica
lax I? = Z?-
lo-Ii xly = 14y?1{
f ?
8S M T- v
I jK j
z Y-S
Io?r
9
o9 o X y s`7 Y7a
WAOi6
Znu ?l.oo?
Psx32 = gov
6Z3 ?? 53: 4n?,
13343 °R
r
i3ytoaD
wi- CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
i91ECHpNICAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST v
ADD ON
REPAIR
OWNER NAME: o.,
SITE ADDRESS: l ?I ??DCI<y Yl?
LOT: BLOCK 3 SUBDD!-.WCC?(? )??C1S
INSTALLER: to c
ADDRESS:
JSOc'? y
CITY: / f? ZIP:
PHONE #• O GC»'Q
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
FEES
FOR CITY USE ONLY
PERMIT #
RECEIPT # / p
DATE: -F/0&79-/
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $
STATE SURCHARGE: .50
$,? ?
TOTAL: - J
SLGNATURE OF PERMITTEE
PLEASE COMPLETF THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
LOT: BLOCK SUBD.
INSTALLER
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING ® $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
l:1TY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
Bmwomm
PERMIT #
RECEIPT # 0.3
DATE: /
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE ' FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _k::f
ADD ON
REPAIR
OWNER NAME: JOE MILLER CONSTRUCTION CO. INC.
SITE ADDRESS: /'/97 Z: 'A/
-rye
S
LOT: BLACK 3 SUBD. ? ?., ) n-<.,. ` l ypWyvQ
INSTALLER: GENZ-RYAN PLUMBING & HEATING CO.
ADDRESS: 14745 South Robert Trail
CITY: Rosemount, MN ZIP: 55068
F<:ONE #:_ (612) 423-1144
DWELLINGS
COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00
WATER CLOSET 3.00
I
BATH TUB ,
3.00
LAVATORY 3.00
KITCHEN SINK 3.00 ?s
T LAUNDRY TRAY 3.00 1 XD
HOT TUB/SPA 3.00
WATER HEATER 3.00 3-?3-
Z FLOOR DRAIN 3.00
GAS PIPING OUT.
(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50 `1.So
_ OTHER _
_ WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
SUBTOTAL __
ST. SURCHARGE .50
TOTAL: "7? S , n
02 EIt? f xR P '« PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLACK _ SUBD.
INSTALLER:
ADDRESS
CITY:
ZIP:
PHONE #:
!
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
FOR:
CITY OF EAGAN
06 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements.
3 registered site surveys showing sq. R of lot, sq. It. of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils Report if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window saes; poured found design, eta
1 set of Energy calculations
3 copies of Tree Preservation Plan 'if lot platted after 711193
Rim Joist Detail options selection sheet (bulldings with 3 or less units) .
Minnegasm mechanical ventilation form
RemodelrRegalf Requirements
2 copies of plan showing footings, beams, joists
1 set of Energy calculators for heated additions
1 site survey for additions & decks
Addition • indicate ifonsde septic system
22oyy
06
office'.lise only
ced of Survey N
Recd ?
Soils Repot Y 'N
TreePresPlanR,4cd?,' N Y_N,
Ins Pres Regt%Ired ' N
tint Septic S¢stem '...' AY;r-N
Date ! l 6 1 0-7
Site Address (N g i p- o alC y
i Construction Cost 7 i y Q u
Unit/Ste #
Description of Work T (a d t Q S
Multi-Family Bldg - Y _ N Fireplace(s) - 0 2
Property Owner ?T (n k .i 0JX w A y K4 -C4'- Telephone # ( S!) 6 ?? '? S7 S
Contractor ZZ/2 ? QGL(?F'Gr L?d77 f G???d?7
Address .6i 4/7 IV-0 (r Ta /
State /7) Al
Zi /. W,
Zip S6G,F..2 /
City 5?2 ??lt Gt rev
Telephone#(/p57) i?3?• y3;?-o
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 CateggU 1 _ Minnesota Rules 7672
Energy Code Category ' . Residential Ventilation category t Worksheet New Energy code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- Y - N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Maya _na le A,, k9,4
Applicant's Printed Name Applicant Signature
r . s
Use BLUE or BLACK Ink
�-----------------
� For Office Use �
� j Permit#: ! "/ /�� I
I � I
l�y of �a�a� � �
� Permit Fee:� I
3830 Pilot Knob Road � .�� r1�, /� �
Eagan MN 55122 REC�IVED � Date Receivetl: �,7 �
Phone:(651)675-5675 I I
Fax:(651)675-5694 `�(�� '� �j �{;�� I Staff: I
I I
�______ _____——_J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION � ��.?1
Date: �� `''��`I`i' Site Address: ,� Unit#:
„
Name: °�' 1'� Phone������O-�>J /_ly'
�@SiC�@I'It/ p
Qyl�ner Address/City/Zip: I � C7 l-�-nQ 5� 22.
•�; ��� !, �� Applicant is: Owner Contractor
� ,, . ,
Type Of WOek ' Description of work: C7
Construction Cost� �� l'I '�.3� Multi-Family Building: (Yes /No )
;� Company: ���� �����(U�,i/h`�j�.��Q���Contact. �� ��_ - -
� '��.
;Cb�i�l'aCE01' �� �' Address: City: ��G)'�
State:�Zip:� Phon ���' 1��) Email:{1��Q,.�C, �t�4Yh�u.t�i;S /�,,
' License#:�Q��� Lead Certificate#:N� —����� [ '� �
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
� �J
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
N07E;Plans�r�d suppvrting documenfs�frat,you submit are cnnsitlere�i tc�be�ublic in�orrrra�ivn,' Portivns�f
the information may be cfassifiet�as nt�rt pubtic it yo�r pravide specrfic re�sons that,w�d�itl peir"irif#he���y,tti
�orrcieide ti�at the are trade secrets = , , , : i � � �! C
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. w�vw.qoqherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 780
days of permit issuance. �
�. r
x ' c� ' �, /- `
; ��
X =
Applicant's Printed Nam Applica ' gn u e ,,�.,,,.
Page 1 of 3
. . ; i��-� ��� ��
� %���aa
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION ,�,
Valuation �� C.� Occupancy � MCES System `—
Plan Review Code Edition Q�? SAC Units --
(25%_100%� Zoning h_� City Water —
Census Code �3�( Stories �— Booster Pump —
#of Units � Square Feet �'" PRV —'
#of Buildings � Length '�' Fire Sprinklers —'
Type of Construction �j� Width '�
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings(Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
� Roof: _Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
Framing Drain Tile
� Fireplace:�Rough In �ir Test �Final � Siding:_Stucco Lath _Stone Lath _Brick
Insulation � Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES /GG j�f n��Gh,�,rti, � ��~��'f � 3,�y�
.��
Base Fee O G�
Surcharge J 34 a—' �✓'�'��'"'S �1/ � p'
!�'
Plan Review
MCES SAC f��'� p`���C �OOd �
City SAC
Utility Connection Charge
S8�W Permit 8�Surcharge
Treatment Plant
Copies y� Y
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127340
Date Issued:09/29/2014
Permit Category:ePermit
Site Address: 1497 Rocky Lane
Lot:14 Block: 3 Addition: Sherwood Downs
PID:10-67670-03-140
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John P Rayman
1497 Rocky Lane
Eagan MN 55122
Twin City Fireplace
6916 Washburn Ave S
Richfield MN 55423
(612) 282-2684
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA170781
Date Issued:07/16/2021
Permit Category:ePermit
Site Address: 1497 Rocky Lane
Lot:14 Block: 3 Addition: Sherwood Downs
PID:10-67670-03-140
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John P & Darla J Rayman
1497 Rocky Ln
Saint Paul MN 55122--382
Hessian Plumbing Services
Box 22172
Eagan MN 55122
(651) 681-8252
Applicant/Permitee: Signature Issued By: Signature